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Direct Care Administrators

medicalvision

Summary

Direct Care Administrators is a medical and vision payer operating in Utah. Claims route under payer ID DCA62, with 2 alternate IDs in use across clearinghouses. Through clearinghouses it supports eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance (ERA); ERA enrollment is required and takes several weeks.

At a glance

Payer ID
DCA62Also seen as 7736, 9685
Also known as
DCA
Service area
UT

Clearinghouse transaction setup

Which EDI transactions this payer supports, and how long clearinghouse enrollment typically takes when it is required.

TransactionEnrollmentTypical setup
Eligibility checks (270/271)Not requiredImmediate
Claim status (276/277)Not requiredImmediate
Professional claims (837P)Not requiredImmediate
Institutional claims (837I)Not requiredImmediate
ERA / remittance (835)RequiredSeveral weeks

Common questions

What is the payer ID for Direct Care Administrators?
The payer ID for Direct Care Administrators is DCA62. Alternate IDs seen across clearinghouses include 7736, 9685.
Does Direct Care Administrators require ERA enrollment?
Yes. Direct Care Administrators requires a separate ERA (835) enrollment before electronic remittances flow, and setup typically takes several weeks.
What states does Direct Care Administrators cover?
Direct Care Administrators operates in UT. Coverage can differ by plan and product line, so confirm the specific plan before you file.
What types of coverage does Direct Care Administrators offer?
Direct Care Administrators covers medical and vision.
Can I submit claims to Direct Care Administrators electronically?
Yes. Direct Care Administrators is reachable through clearinghouses for eligibility checks, claim status inquiries, professional claims, institutional claims, and electronic remittance. Electronic claims are supported for professional (837P) and institutional (837I).

Compiled from public payer resources and clearinghouse catalogs. Details change often, so confirm with the payer before relying on them. Spot something out of date? Tell us and we will fix it.